Gliederung

Several myths are still associated with the management of eyes with a posterior segment intraocular foreign body (IOFB). These include, but are not limited to, the following: The presence of a foreign object inside the eye always represents an emergency and the object must instantly be removed; the most important part of management is extraction of the IOFB; if the lens is injured, the posterior capsule should always be preserved so that the intraocular lens can be implanted in the bag; phacoemulsification is the safest method of extracting the traumatic cataract; even for ferrous IOFBs, the forceps is the most ideal tool for IOFB removal; and minimizing the scope of posterior segment manipulations is preferable to reduce the risk of proliferative vitreoretinopathy. This intraoperative videofilm illustrates how effective management is when the surgeon’s actions are based on a rational plan, rather than on blindly following the above-listed myths.